ERIC KAPUSTKA D.D.S.
NPI 1417042102
Dentist - General Practice in Rogersville, MO

Q: What is Eric Kapustka's NPI number?

The NPI number for Eric Kapustka is 1417042102. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Eric Kapustka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Eric Kapustka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2006PECOS Enrolled

125 JOHNSTOWN DR, ROGERSVILLE, MO 65742(417) 753-2963(417) 753-3543 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eric Kapustka D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC KAPUSTKA D.D.S. (NPI 1417042102) is an individual general practice provider in Rogersville, Missouri, licensed in Missouri (14426) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417042102

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameERIC KAPUSTKACredential: D.D.S.

Location Address125 JOHNSTOWN DRRogersville, MO 65742-9366

Mailing Address125 Johnstown DrRogersville, MO 65742-9366 · (417) 753-2963 · Fax (417) 753-3543

Phone(417) 753-2963

Fax(417) 753-3543

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417042102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 14426

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

125 JOHNSTOWN DR, Rogersville, MO 65742

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Kapustka D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Kapustka's NPI number?

The NPI number for Eric Kapustka is 1417042102. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Eric Kapustka located?

Eric Kapustka practices at 125 Johnstown Dr, Rogersville, MO 65742. The listed phone number is (417) 753-2963.

What is Eric Kapustka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eric Kapustka enrolled in Medicare?

Yes. Eric Kapustka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Kapustka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.